Summer Youth Intensive Registration

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Participant Information


Participant's First Name:
Participant's Last Name:
Birthday (DD/MM/YYYY):
Participant's E-mail:
Address:
City:
Postal Code:

Participant is registering for:

Four electives will be offered each week. Participants may choose two electives each week. Week One electives are Vocal I: Technique, Vocal II: Dramatic Interpretation, Stage Combat and Production. Week Two electives are Vocal I: Technique, Small Group Scene and Solo Work, Production Design and Drama.


At this time, which electives will participant be most interested in signing up for?:
Has participant attended Summer Youth Intensive before?:
If "Yes", what year(s)?:

Has the participant attended any other COC education and outreach programs?

If other, please specify:


MEDICAL INFORMATION


Please list any food and drug allergies, medical concerns or conditions that our staff should be aware of:
Is the participant anaphylactic?:
If yes, do they carry an Epi-pen?:
If yes, are they trained to administer it to themselves?:


Release Information / Emergency contact


My child may sign themselves out and leave on their own at the end of the program:

In the interest of safety, your child will only be released to the individuals indicated on this form. Please ensure that you list all of the people who are authorized to pick up your child. Any person picking up a child will be asked for government-issued photo I.D. (i.e. driver's license or passport).

Please note that any person listed below also has the authority to have my child released into their custody and/or to be contacted in case of an emergency. Please list contacts in order of preference in the event of an emergency.

Contact 1 Full Name:
Phone Number:
Contact 2 Full Name:
Phone Number:
Contact 3 Full Name:
Phone Number:
Contact 4 Full Name:
Phone Number:

Any changes to the designated pick-up persons must be made in advance with the program co-ordinator.


Photo Permission and Medical Release


Privacy Statement and Photography Release:
The Canadian Opera Company (COC) takes the issue of privacy seriously. The COC follows responsible information-handling practices, in keeping with privacy laws. We collect and use personal data pertaining to education and outreach programs to ensure the safety of participants, for statistical purposes, and to inform you about the education and outreach programs for which your child is registered. You may also receive periodic mailings from us with information about other education and outreach programs that may be of interest to you.

Any photographs or video taken of you/your child while participating in education and outreach programs by an employee or representative of the COC will become property of the COC and may be used for various promotional purposes without remuneration to, or benefit of, the child or family. If you or your family wishes otherwise, please inform education and outreach before the start of the program.


Medical Treatment Authorization:
I give permission to the COC to arrange emergency medical care including hospitalization/transportation, if necessary. Participants in education and outreach programs are responsible for their own medical coverage. I hereby release the COC from all liability and claims arising in relation to any matter including personal injury or damage to/loss of property that occurs from participation in any education and outreach activity. I hereby indemnify the COC from and against such claims.

I have read, understood and accept the terms and conditions on this form. By registering my child, I agree to these terms as well as the further polices outlined at coc.ca/Explore.


Parent/Guardian Full Name (Please ensure that this name will match the name on the account):
Parent/Guardian E-mail:
Parent/Guardian Primary Phone:
Parent/Guardian Alternate Phone:
How did you hear about us:
If other, please specify:

To complete your registration, and pay, please click the submit button and follow the prompts.



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